How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $269.15 Median $660.69 Typical High $1,778.28 | Facility | None | $269.15 | $660.69 | $1,778.28 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $158.49 Median $204.17 Typical High $724.44 | Facility | TC · Technical part | $158.49 | $204.17 | $724.44 |
Aetna Setting Professional Modifier None (both parts) Typical Low $269.15 Median $338.84 Typical High $380.19 | Professional | None (both parts) | $269.15 | $338.84 | $380.19 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $123.03 Typical High $131.83 | Professional | 26 · Professional part | $112.20 | $123.03 | $131.83 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $204.17 Typical High $269.15 | Professional | TC · Technical part | $158.49 | $204.17 | $269.15 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $194.98 Median $194.98 Typical High $194.98 | Professional | 26 · Professional part | $194.98 | $194.98 | $194.98 |
Capital Blue Cross Setting Facility Modifier None Typical Low $891.25 Median $5,011.87 Typical High $5,011.87 | Facility | None | $891.25 | $5,011.87 | $5,011.87 |
Capital Blue Cross Setting Facility Modifier TC · Technical part Typical Low $1,318.26 Median $1,698.24 Typical High $5,011.87 | Facility | TC · Technical part | $1,318.26 | $1,698.24 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None (both parts) Typical Low $302.00 Median $489.78 Typical High $912.01 | Professional | None (both parts) | $302.00 | $489.78 | $912.01 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $120.23 Median $208.93 Typical High $309.03 | Professional | 26 · Professional part | $120.23 | $208.93 | $309.03 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $281.84 Typical High $602.56 | Professional | TC · Technical part | $181.97 | $281.84 | $602.56 |
Cigna Setting Facility Modifier None Typical Low $331.13 Median $630.96 Typical High $912.01 | Facility | None | $331.13 | $630.96 | $912.01 |
Cigna Setting Professional Modifier None (both parts) Typical Low $257.04 Median $380.19 Typical High $660.69 | Professional | None (both parts) | $257.04 | $380.19 | $660.69 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $128.82 Typical High $234.42 | Professional | 26 · Professional part | $81.28 | $128.82 | $234.42 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $245.47 Typical High $436.52 | Professional | TC · Technical part | $162.18 | $245.47 | $436.52 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $371.54 Median $436.52 Typical High $549.54 | Professional | None (both parts) | $371.54 | $436.52 | $549.54 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $281.84 Median $371.54 Typical High $724.44 | Professional | None (both parts) | $281.84 | $371.54 | $724.44 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $134.90 Typical High $257.04 | Professional | 26 · Professional part | $102.33 | $134.90 | $257.04 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $239.88 Typical High $467.74 | Professional | TC · Technical part | $173.78 | $239.88 | $467.74 |
Highmark BCBS Setting Facility Modifier None Typical Low $724.44 Median $1,174.90 Typical High $2,187.76 | Facility | None | $724.44 | $1,174.90 | $2,187.76 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $128.82 Median $204.17 Typical High $1,000.00 | Professional | 26 · Professional part | $128.82 | $204.17 | $1,000.00 |
Martin's Point Setting Facility Modifier None Typical Low $269.15 Median $660.69 Typical High $2,344.23 | Facility | None | $269.15 | $660.69 | $2,344.23 |
Martin's Point Setting Facility Modifier TC · Technical part Typical Low $158.49 Median $162.18 Typical High $724.44 | Facility | TC · Technical part | $158.49 | $162.18 | $724.44 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $269.15 Median $338.84 Typical High $380.19 | Professional | None (both parts) | $269.15 | $338.84 | $380.19 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $123.03 Typical High $131.83 | Professional | 26 · Professional part | $112.20 | $123.03 | $131.83 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $204.17 Typical High $245.47 | Professional | TC · Technical part | $158.49 | $204.17 | $245.47 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $128.82 Median $316.23 Typical High $549.54 | Professional | None (both parts) | $128.82 | $316.23 | $549.54 |
UPMC Health Plan Setting Facility Modifier None Typical Low $288.40 Median $562.34 Typical High $977.24 | Facility | None | $288.40 | $562.34 | $977.24 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $288.40 Median $331.13 Typical High $331.13 | Professional | None (both parts) | $288.40 | $331.13 | $331.13 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $112.20 Typical High $117.49 | Professional | 26 · Professional part | $112.20 | $112.20 | $117.49 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $218.78 Typical High $218.78 | Professional | TC · Technical part | $169.82 | $218.78 | $218.78 |
United Setting Facility Modifier None Typical Low $478.63 Median $1,023.29 Typical High $1,174.90 | Facility | None | $478.63 | $1,023.29 | $1,174.90 |
United Setting Professional Modifier None (both parts) Typical Low $295.12 Median $371.54 Typical High $630.96 | Professional | None (both parts) | $295.12 | $371.54 | $630.96 |
United Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $125.89 Typical High $234.42 | Professional | 26 · Professional part | $107.15 | $125.89 | $234.42 |
United Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $239.88 Typical High $398.11 | Professional | TC · Technical part | $177.83 | $239.88 | $398.11 |
4 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $229.09 Median $263.03 Typical High $288.40 | Professional | CT · Older CT scanner | $229.09 | $263.03 | $288.40 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $218.78 Median $245.47 Typical High $269.15 | Professional | FX · Film X-ray | $218.78 | $245.47 | $269.15 |
Martin's Point Setting Professional Modifier CT · Older CT scanner Typical Low $229.09 Median $263.03 Typical High $288.40 | Professional | CT · Older CT scanner | $229.09 | $263.03 | $288.40 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $218.78 Median $245.47 Typical High $269.15 | Professional | FX · Film X-ray | $218.78 | $245.47 | $269.15 |
Where Pennsylvania sits
The same service costs 5.8 times more in Alaska than in Texas. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Pennsylvania· 42nd of 51
$339
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.